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Archive for the ‘healing arts’ Category

The way the dog trots out the front door

every morning

without a hat or an umbrella

without any money

or the keys to her doghouse

never fails to fill the saucer of my heart

with milky admiration…

(From:  “Dharma,” by Billy Collins, in Sailing Around the Room, Random House, 2002

My mornings are incomplete without her.  Somewhere between 4:30 and 5 a.m., as I begin the slow process of waking, our ritual begins.  I hear her rise from her bed on the floor, shake herself awake, then two, perhaps three, seconds past before she springs up from the floor and onto the bed, choosing to nestle her back against mine.  As small as she is, she is like a block of cement then, a guarantee that by six a.m., I will awaken, and my morning will begin.  I’m first to rise; she prefers another ten or fifteen minutes of dozing. But as I grind coffee beans and spoon them into a paper filter, she pads into the kitchen, stretches, and patiently waits for her breakfast.  Coffee ready and kibble consumed, we settle ourselves in the living room, where she curls up in a corner of the sofa, dozing and occasionally casting a watchful eye at me while I write.  She is Maggie, a small border terrier mix, adopted five years ago to become my faithful companion, but more:  comforter, guardian, playmate, nonjudgmental friend.  Whether canine or feline, many of us are very attached to our pets.

…Perdita makes me smile every day. She runs to greet me when I come home, and she flops at my feet in the morning to be petted. She loves boxes and balled-up pages of the Nation. She is afraid of vacuum cleaners and tornado sirens. She lies on her back in squares of sunshine with her paws in the air and looks perfectly ridiculous and content. My friend Kristen tells her cat Mouse each morning that he’s her best friend, which is the sort of behavior that makes non-cat-people roll their eyes. But there’s something to it. Perdita and I don’t discuss novels or anything, but we really are friends.  (From:  “Perdita, Why Cats are Better than People”by Michael Robbins, Poetry Magazine, July 2012).

Pets are often the subject of poetry and essays.  They’ve even served as major characters in novels or heroes in films.  Anthropomorphism aside, we humans have strong emotional connections with our pets, whether canine, feline, equine or other kinds.  As companions or sources of comfort when we’re feeling lonely, blue or under the weather.  They rarely pass up a chance to play, and some pets, like my small dog, protect us as if we are their children.

Pets are healers too.    Pets, as Florence Nightingale, the pioneer of modern nursing, observed over a century ago, are “excellent companion (s) for the sick…” There are countless stories of animals assisting and helping their human companions.  One marine dog’s heroism during wartime, for example,  is documented in the best-selling, Top Dog, by Maria Goodavage (2014).  Lucca, a bomb-sniffing German Shepard whose actions saved many lives, lost one leg in battle and was later awarded a purple heart for her bravery.

Dogs like Lucca are only one example of the potential impact animals can have on human lives .  There are guide dogs, hearing dogs and service dogs, for example, whose assistance to individuals with visual, hearing or other disabilities is invaluable.  Animal-Assisted Therapy (AAT) is a widely practiced approach that is used to achieve therapeutic goals through interactions between patients and trained animals. AAT provides comfort, assistance, and companionship for people suffering from chronic or grave illnesses, grief, depression or disability.  It’s an approach widely used in many settings such as hospitals, prisons, nursing homes, mental institutions and homes. According to the American Humane Society, AAT has helped children who’ve experienced abuse or neglect, patients undergoing chemotherapy and other difficult medical treatments, and veterans and their families struggling with the effects of wartime military service.

When I was in my teens, our family had another dog, a terrier mix, who was my younger brother’s constant companion.  One November night in 1966,  a fire destroyed my family home’s.  Our dog,Tico, was the first to notice, licking the face of my brother to wake him and likely saving his life.  Several years ago, my husband and I had Winston, a West Highland terrier who died in 2008 at age seventeen.  Calm, steady and loyal, his temperament made him an excellent candidate for therapy dog training.  Once trained, he accompanied my husband to visit young hospital patients.  Winston was happy to lie quietly next to a sick child, have his ears rubbed or back stroked, seemingly unaware to the happy smile on a child’s face that his presence produced.  When it was time to move to the next child, he obediently followed my husband to the young patient’s bed, tail erect, and patiently repeated the process again and again.

He puts his cheek against mine

and makes small expressive sounds…

 

he turns upside-down, his four paws

in the air

and his eyes dark and fervent.

 

“Tell me you love me,” he says…

(From:  “Little Dog’s Rhapsody in the Night,” in Dog Songs, Poems by Mary Oliver, 2013)

Is it any wonder we become so attached to our pets?  Or that they offer us solace and comfort in difficult times?  Or that poets and essayists alike have so frequently written about their pets with such affection?  Mary Oliver devoted an entire book of poetry to her dogs.

But I want to extol not the sweetness nor the placidity of the dog, but the wilderness out of which he cannot step entirely, and from which we benefit…  Dog is one of the messengers of that rich and still magical first world…

And we are caught by the old affinity, a joyfulness—his great and seemly pleasure in the physical world.  Because of the dog’s joyfulness, our own is increased.  it is no small gift.  …What would the world be like without music or rivers or the green and tender grass?  What would this world be like without dogs?  –-From Dog Songs: Poems, by Mary Oliver, Penguin Press, 2013.

Writing Suggestions

Have you had a special pet, whether from childhood or more recently, who provided you with comfort, solace or service in a time of need?  Has a pet played a healing role in your life or someone you know?  Write about a pet–dog, cat, horse, or another kind of animal who played an important role in your life at one time.

  • Describe the pet and its unique qualities.  How did it endear itself to you?
  • Tell the story/or write a poem about your pet and of a time he/she helped you heal from hardship, sorrow or even illness.

 

 

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But [Pooh] couldn’t sleep. The more he tried to sleep the more he couldn’t. He tried counting Sheep, which is sometimes a good way of getting to sleep, and, as that was no good, he tried counting Heffalumps. And that was worse. Because every Heffalump that he counted was making straight for a pot of Pooh’s honey, and eating it all. –A.A. Milne, Winnie the Pooh

Sometimes, when the world is too much with me, my sleep suffers.  Last night was one of those times.  I yawned repeatedly as I read, so I closed my book, turned off the lights and immediately fell asleep.  But barely an hour or so later, I was awake.  A vicious cycle began.  I couldn’t get comfortable, tossed the duvet aside, pulled it back on, lay on one side, then the other.   I tried to meditate, a slow, deep inhale, a long exhale, but my mind was having none of it, and a relentless parade of “to-dos” began clamoring for attention.  I checked the clock:  1:10, 1:20, 1:40, 2 a.m.  I sighed, tossed back the covers, grabbed my novel and glasses, and tip toed out of the bedroom, making my way to the kitchen.  A cup of warm milk and three chapters later, I returned to bed, finally drifting off to a sound sleep for a few hours, but awakening, as I do habitually, at 6 a.m., saw my nearly illegible list on the night table, scrawled during my wakefulness in an effort to quiet my mind.

Busy brain, an important event happening the next day, or minor aches and pains aren’t the only culprits that keep us awake at night.  Life hands us challenges from time to time–difficult or traumatic events job loss, death of a loved one, worries about a child, a parent or spouse, illness. In the days before my husband’s surgery to remove a cancerous kidney, neither he nor I slept well, and I know that before his next scan, his worry will keep him tossing and turning until it’s over.  In times like these, one’s sleep may be disrupted for weeks.

He would lie in the bed and finally, with daylight, he would go to sleep. After all, he said to himself, it is probably only insomnia. Many must have it.― Ernest Hemingway, A  Clean, Well Lighted Place

Sleepless nights are no trivial matter.  Sleep disruption does more than irritate or make us drowsy the following afternoon. It alters the hormonal balance in our bodies.  An inability to fall asleep and stay asleep can result in anxiety, depression, breathing problems, fatigue, or headaches—to name a few. It is well known that lack of deep, restorative sleep negatively affects mental performance and in particular, memory.  There is even some newer evidence that individuals who showed signs of pre-clinical Alzheimer’s disease had poorer sleep efficiency than those without Alzheimer’s markers.

Sleep disorders are also a common and sometimes chronic problem for patients with cancer as well as cancer survivors. They can be caused by anxiety or depression, or the side effects of various treatments.  Chemotherapy drugs, for example, can cause nausea, vomiting, night sweats or fatigue.  The medications that may be prescribed to help combat the side effects of chemotherapy can also create sleep problems, causing drowsiness, or, in some cases, leave a patient feeling energized.  A common remedy is to try to sleep during the day.  But daytime naps can aggravate one’s ability to fall or stay asleep during the night.

It is 5 a.m. All the worse things come stalking in
and stand icily about the bed looking worse and worse and worse.

― Fleur Adcock, poet

According to a 2007 study published in The Oncologist, researchers discovered that the cancer itself, its related symptoms, and treatments may also create sleep problems. Even years after treatment, chronic sleep disturbances are common among many cancer survivors.  In fact, there is some evidence that disruption of our circadian rhythm may also affect an individual’s cancer prognosis.

According to Dr. David Spiegel and his Stanford University colleagues, a good night’s sleep is an important weapon for fighting cancer.  When the hormonal cortisol cycle is thrown off by troubled sleep, the cancer-fighting branches of our immune systems are suppressed.  The Stanford team’s findings also suggested that breast cancer patients who suffered disrupted sleep cycles may die earlier from the disease.

The bottom line?  A good night’s sleep is not only an important weapon in the arsenal for fighting cancer but for overall health. What can you do if you’re having trouble sleeping?  A good first step is to talk to your health care team about your sleep difficulties, but there are some basic steps, recommended by organizations like the American and Canadian Cancer Societies, that might help you get a little more shut-eye.

  • Try to keep a normal bedtime routine. Go to sleep in a quiet setting.
  • Exercise a little each day.
  • If you nap, keep your naps short and do it at least 2 to 3 hours before your bedtime.
  • Avoid caffeine for 6 to 8 hours before bedtime.
  • Drink warm, non-caffeinated drinks like warm milk or herbal tea before going to sleep.
  • Try relaxation exercises, listening to soothing music, darkening the room or massage before bed.
  • Keep sheets clean and tucked in, and have extra covers handy in case you get cold.
  • It may also be helpful to talk to someone you trust about any fears and concerns you have.

A good laugh and a long sleep are the two best cures for anything.- Irish Proverb

Sleep.  We all need it.  From time to time, many of us sometimes have trouble getting enough of it.  Work, worries, fears, upsetting events, illness–these very human experiences can disrupt us of our sleep.  The vast majority of us will experience sleep difficulties at some time on our lives, and those will be like the one I experienced last night, when the hours tick by slowly, you toss and turn and feel as if sleep will never come. As for me, I’m taking a long walk in the sunshine rather than succumbing to the desire for an afternoon nap, closing my computer screen at dinnertime, and maybe even put the disturbing novel I’m reading aside and opt for something with less tension and suspense in the plot.  Add a cup of herbal tea or glass of warm milk, the cool feel of sheets and warming cocoon of my duvet, and I just may succumb to darkness’s embrace and restorative power of sleep. As the great poet William Blake advised, “”Think in the morning. Act in the noon. Eat in the evening. Sleep in the night.”

Writing Suggestions:

Did you fear the darkness as a child?  What helped you go to sleep?

Write about sleep–or the lack of it.  What impact does it have on you the following day?  What helps you get to sleep now?

Write, in as much detail as you can, about a time when your worries or fears overtook you and kept you restless and unable to sleep.  Try to re-capture the feelings and thoughts you had.

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In a few days, my husband and I will board an Air Canada jet, crossing the Pacific, international borders and time zones as we travel to Okinawa, Japan, where my younger daughter and her family live. Thanks to my adventuresome daughters, I’ve visited many more foreign countries than I might have otherwise. Despite this, living with heart failure makes me a little more anxious about the long flight than I once was.   I seem to vacillate between excitement and nervousness with wild abandon.

I’m reminded of other border crossings we traverse in our lifetimes. Some of them are physical, like the border between countries, others are metaphorical, like crossing from youth into adulthood, graduate to professional, single to married, employed to retired.  The list of transitions, of borders real and symbolic, is endless.  Some crossings are welcomed; others, in the moments when the landscape of your life shifts without warning from familiar to unfamiliar, are not.  In those instances, you land in an unknown territory where what you took for granted, what you thought of as normal, are forever altered.  Not only is it disorienting, the experience can be frightening and lonely.

It’s the same strangeness, the unreality you experience after an unexpected and sudden death of a loved one, or hear your doctor say the word, “cancer,” or just days after unexpectedly collapsing on a walk, you lie in a hospital bed listening to a cardiologist’s use words like “heart failure, atrial fibrillation, ejection fraction, ventricular tachycardia, ICD” and struggle to make sense of them.  It’s those moments, when your life abruptly changes in ways you never imagined, that are burned into memory.

Looking back, perhaps there were warning signs, but ones you ignored or passed off as trivial.  Maybe you were sent for more tests, further consultation, or hospitalized for observation, but even then, you try to push aside the niggling worries.  “It’s probably nothing,” you tell yourself, but then all that changes as you watch your doctor’s face and hear, in those unreal, slow motion moments, “I’m sorry, but…”  And your heart already knows what the brain is trying to process as you’re thrust across the border into what writer Susan Sontag once named “The Kingdom of the Ill.”

Illness is the night-side of life, a more onerous citizenship. Everyone who is born holds dual citizenship, in the kingdom of the well and in the kingdom of the sick. Although we all prefer to use only the good passport, sooner or later each of us is obliged, at least for a spell, to identify ourselves as citizens of that other place. (Susan Sontag, “Illness as Metaphor,” in The New York Times, Jan. 26, 1978)

Being diagnosed with any serious medical condition casts you into unfamiliar and treacherous terrain.  You feel disoriented, as if your body has betrayed you.  Maybe you’ve been given a roadmap upon entry, an informational pamphlet that defines your path of treatment,  but it can seem like a maze of different choices, ones that branch into multiple—and equally confusing—pathways.  Worse, your diagnosis is accompanied by strange sounding terminology, difficult to decipher and understand, leaving you feeling even more overwhelmed and confused.  Your life is suddenly turned upside down, and you confront a new reality you feel ill prepared to navigate.  This is the foreign territory of the body’s betrayal. Nothing seems quite real, and you feel lost and alone.

There’s a moment, not necessarily when you hear your diagnosis, maybe weeks later, when you cross that border and know in your heart and soul that this is really serious… The hardest thing is to leave yourself, the innocent, healthy you that never had to face her own mortality, at the border.  That old relationship with your body, careless but friendly, taken for granted, suddenly ends.  Your body becomes enemy territory …The sudden crossing over into illness or disability, becoming a patient, can feel like you’re landing on another planet, or entering another country… (Barbara Abercrombie, Writing Out the Storm, 2002).

As a heart failure patient, an unexpected outcome from my radiation treatment for breast cancer several years earlier,  I’ve been surprised by a lack of support programs and resources like those available in the cancer community, where I’ve been leading therapeutic writing groups for cancer patients for nearly twenty years, beginning years before I was diagnosed with heart failure.  The writing groups offer a safe and supportive environment in which people can write from the personal experience of cancer.  Illness or tragedy cracks us open.  Over the weeks together, patients’ stories become progressively deeper and more powerful as they explore the impact of cancer on their lives.  They are often surprised by the power of their words to touch others in the group as they are read aloud.  A strong sense of community is created in the sharing of one another’s stories.  People feel less alone as they go through surgery and treatment, even as they face death in a terminal diagnosis.  Writing is powerful medicine and part of the motivation for me to begin this blog–hoping it might encourage heart failure patients to also write and share their stories.

Somewhere out there in that darkness are hundreds of thousands … like myself …new citizens of this other country… In one moment of discovery, these lives have been transformed, just as mine has been, as surely as if they had been  plucked from their native land and forced to survive in a hostile new landscape, fraught with dangers, real and imagined.(Musa Mayer, Examining Myself:  One Woman’s Story of Breast Cancer Treatment and Recovery, 1994.).      

I have become more aware of how loneliness sometimes accompanies those who are living with heart failure, something I wrote about in my February post.  I am not immune to those same feelings, so when I was invited by a cardiac nurse to become a patient partner for Toronto’s UHN hospital community, I quickly agreed.  The Patient Partner program at UHN “recruits, selects, orients, and provides skill-building for UHN patients and caregivers, in order to contribute to important hospital planning and decision-making activities.”

I attended my orientation to the program in February, and afterward, I was eager for an engagement opportunity.  The planned “get acquainted” “evening with other patient partners was postponed due to a late February snowstorm, and my active involvement was put on hold until after my trip.  Nevertheless, I felt my motivation slipping.   The “get-together” was finally last week, but as the date arrived, I considered cancelling my attendance.  I’d had a full day of appointments and meetings, and my energy was waning.  Being an introvert by nature, making small talk with strangers is not something I enjoy, but I forced myself to go.  And frankly, I’m glad I did.

To my surprise, I experienced instant camaraderie with others in the room.  The program team facilitated a relaxed and friendly environment, ensuring we had time to have fun and get acquainted before breaking into small groups to discuss the pros and cons of the patient partner experience.  As we introduced ourselves, telling, in a few words, our different medical diagnoses and conditions, I was again humbled to hear others’ stories of illness, many enduring far more debilitating and serious conditions than I ever will.  Yet they’ve overcome extraordinary odds, are resilient and now actively participating in various hospital initiatives aimed at improving patient care, something I found truly inspiring.  I even had a surprise encounter with another patient partner.  We hadn’t recognized one another at first, but as we were talking, I realized he had been one of the managing partners at a former Toronto consulting firm where I worked right after graduate school.  In fact, he had hired me 33 years ago!  We laughed and marveled at the unexpected coincidence.  No longer “senior consultant” and “managing partner,” we are simply former colleagues who are now patients and volunteering at UHN.

It was a reminder of how illness levels the playing field between people, stripping us of the old symbols of status or hierarchy, humbling us and making us more compassionate.   In the kingdom of the sick, struggles, sorrow, and fear are part of the universal human experience.  We become more aware of our mortality.  The act sharing our stories of illness or suffering with one another helps to lessen our loneliness, make us feel less overwhelmed, even less sorry for ourselves.   We need one another as we navigate through the landscape called illness, to realize that even though we may be living with incurable conditions, there much more we are capable of being and of giving.

In the telling of our personal lives, we’re reminded of our basic, human qualities—our vulnerabilities and strengths, foolishness and wisdom, who we are…, through the exchange of stories, we help heal each other’s spirits.

–Patrice Vecchione, Writing and the Spiritual Life

Writing Suggestions:

  • Write about the moment you heard your diagnosis, “I’m sorry, but you have…” Describe that moment in as much detail as you can.
  • What is it like to cross the border into the unknown territory of life threatening illness?  What was it like at first?   What fears did you have?  What fears linger?
  • What old assumptions did you have to leave behind? How has your relationship with your body changed?
  • What has been the most helpful or supportive experience you’ve had as a patient?

 

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Life changes fast. Life changes in the instant. You sit down to dinner and life as you know it ends.–Joan Didion, A Year of Magical Thinking

The sky was overcast yesterday morning, typical March weather, but yet, a somber sky that seemed to reflect the heaviness felt by so many around the world in the aftermath of tragedy–lives lost; others permanently changed, and all in an instant.  The first was the crash of the Boeing 737 Max in Ethiopia that killed everyone aboard, and the second, and, perhaps, more difficult to comprehend, the fifty victims of mass shootings at the two mosques in Christchurch, New Zealand, until now, a country spared the kind of violence experienced in so many other countries.

The scale of the two tragedies was nearly incomprehensible, but the outpouring of shock, condemnation around the world in the aftermath of the New Zealand mosque shootings was immediate.  Such events are at odds with our fundamental beliefs, including “that we live in a just world, and that if we make good decisions, we’ll be safe,” according to Laura Wilson, PhD, co-author and editor of The Wiley Handbook of the Psychology of Mass Shootings. We may stand in solidarity with New Zealand and the victims, but the question remains:  how has our world become so dominated by hatred and violence?

When people experience life-threatening or other traumatic experiences, their focus is on survival and self-protection,  according to Bessel van der Kolk, MD, discussing the nature of trauma in Dialogues in Clinical Neuroscience (2000 Mar; 2(1): 7–22) The traumatic experience triggers a mixture of numbness, withdrawal, confusion, shock, and speechless terror. The National Center for PTSD estimates that 28 percent of people who witness a mass shooting develop post-traumatic stress disorder (PTSD) and might be at greater risk for mental health difficulties compared with people who experience other types of trauma, such as natural disasters. The memory of the traumatic event may be replayed repeatedly, dominating victims’ consciousness. Abdul Aziz, a survivor of the mosque shootings, who’d also ran after the shooter and chased him away from the mosque, described how the event has traumatized  the survivors, “Each time we close our eyes,” he said, “we see all of the dead bodies around us.”

As I read different accounts of the shootings, I came across a poignant comment offered by an Australian news anchor, Waleed Aly,  also a Muslim.  He reflected on those who were in prayer at the mosques, moments before the first shots were heard:

“I was in the mosque today. I do that every Friday just like the people in those mosques in Christchurch today,” he said. “I know exactly what those moments before the shooting began would have been like. I know how quiet, how still, how introspective those people would have been before they were suddenly gunned down. How separated from the world they would have felt before the world came in and tore their lives apart.”

Shock and sadness will linger for a very long time among New Zealanders and many others around the globe, coupled with a sense of helplessness in the senseless, incomprehensible acts of hatred and violence that have become too frequent in our world.  Sadly, these events have become much too numerous to list in full, but for example, school shootings in the U.S., terrorist attacks of 9/11, the 2015 Paris and Beirut bombings, a resurgence of anti-Semitism, the ethnic cleansing of the Rohingya in Myanmar, the 2011 Norway attacks by a lone gunman, on and on.  Yet while we may first experience shock and disbelief,  do we also become numbed by the magnitude of events like these, ones reported in the news with ever greater frequency, yet ones we do not experience personally?

As I often do, I  have turned to poetry as a way to find the words that might express what I feel in the  wake of these deeply sad and disturbing events.   I recalled that after the tragedy of 9/11, poems about it were difficult to find.  At the time, I copied down a quote from the American Academy of Poets website, which said, “There seemed to be pressure on well-known poets to produce a poem, or refuse the opportunity, as former US poet laureate, Billy Collins ,did, saying  “the occasion was “too stupendous” for a single poem to handle.” He said that the terrorists had done something “beyond language.”  Again, years later and many more acts of unbelievable violence later, perhaps we still struggle to find the words “big” enough to help us comprehend these horrible events.  I know I do.

When we live with cancer or another chronic and progressive condition like heart failure, we come closer to the fact of our mortality.  From time to time, I admit the little shadow of fear of a shortened life sneaks up on me, but the events of this past week have again put things in a different light.  As I think about the victims of the shootings and the airplane crash, of the grief and suffering of loved ones and survivors, I am reminded to live with gratitude for the life I have.   I have to find hope, as we all do , that we can find ways and take actions to help lessen the suffering of those who have experienced these horrible, incomprehensible events.  Even though the elusive state we call peace seems ever more out of reach, I remember the words of St. Francis of Assisi:

…That where there is hatred, I may bring love.
That where there is wrong, I may bring the spirit of forgiveness.
That where there is discord, I may bring harmony.
That where there is error, I may bring truth.
That where there is doubt, I may bring faith.
That where there is despair, I may bring hope.
That where there are shadows, I may bring light.
That where there is sadness, I may bring joy.

(From: The Peace Prayer of St. Francis of Assisi)

Writing Suggestions:

This week, I invite you to reflect on the events of these past many days.

  • Write about losses you have experienced and how they changed your life.
  • Write about your own reactions to a tragedy like a mass shooting.  Did anything change in your thinking or actions?
  • Write about any other traumatic event you or a loved one has experienced and what helped you  heal.

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If this comes creased and creased again and soiled
as if I’d opened it a thousand times
to see if what I’d written here was right,
it’s all because I looked too long for you
to put in your pocket. Midnight says
the little gifts of loneliness come wrapped
by nervous fingers. What I wanted this
to say was that I want to be so close
that when you find it, it is warm from me.

“Pocket Poem,” By Ted Kooser; In:  Valentines: poems, 2008)

This past week, I addressed three brightly colored envelopes, red and pink, to the grandchildren who occupy such a big space in my heart.  I’ve been sending them valentines every February since they were first born, and for good measure, adding cards for their mothers, my daughters to the list.  One more card is hidden in my desk, which I’ll place on my husband’s desk early Thursday morning, a continuing tradition that, despite the many years that we’ve been together, remains intact.

Valentines, however entwined with rampant commercialism that accompanies all  holidays, began as a simple expression of love and gratitude, the first attributed to the Charles, Duke of Orleans, imprisoned in 1415 in the Tower of London after the Battle of Agincourt.  As the story goes, he passed his time writing romantic verses for his wife, who was still living in France.  Today, nearly sixty of the Duke’s poems remain and are considered as the first modern-day valentines.  Yet nearly three hundred years passed by before valentines became popular, their verses created by valentine writers in England in booklets that could be copied on decorative paper.  By the early 1800’s, valentines were constructed from simple black and white illustrations, painted and assembled in factories.  By the mid 1800’s, valentines were adorned with lace and ribbons, included affectionate messages and illustrations of turtle-doves, lovers’ knots in gold or silver, cupids and bleeding hearts.  Even though the valentines on display racks in card shops and drug stores now range from the flowery to the comical, I was surprised to learn that more cards are exchanged on Valentine’s Day than other time of the year except, perhaps, Christmas.

Like many of you, I first experienced the exchange of Valentine’s cards in kindergarten.  My teacher decorated a large hat box with red and white paper hearts, lace and ribbons. This, she explained was our valentine card mailbox, and each student was instructed to bring one valentine for each classmate, to be placed in the “mailbox” and exchanged at our Valentine’s Day party.  The excitement we all felt was palpable, and early on the morning of February 14, I awakened  and slipped out of bed quietly while my parents still slept.  I tiptoed into the living room of our upstairs apartment where a package of valentines lay on a card table, waiting to be addressed.

I was too excited to wait for my mother and went to work, painstakingly printing the one name I knew how to spell in dark blue ink.  By the time my mother walked into the room,  I’d addressed over two-thirds of the packet of 32 and proudly showed her my handiwork.  I didn’t expect her reaction, one of shock and “Oh, no, Sharon…what have you done?”  I’d addressed all the cards to my very best friend, another girl with the same name as mine, carefully printing, “To Sharon H., From Sharon B.” just as we were distinguished in our classroom.  My mother managed to salvage the remaining third for other children in the class, but the memory of that morning lingers.  As my teacher pulled one card after another from the decorated box and called out each recipient’s name, one classmate received many more valentines than anyone else.  “Why, here’s another card for Sharon H.,” she said, casting a knowing smile in my direction.  “I wonder who it’s from?”

Ted Kooser, former poet laureate of the U.S., began a Valentine’s tradition in 1986 that lasted nearly twenty years.  According to NPR, each February, many women around the country and found a postcard in their mailbox bearing a red heart with a poem on it-a valentine from Kooser.  He’d been inspired by a friend  who sent handmade valentines out each year, and in 1986, he sent his first Valentine, a “pocket poem,” to approximately 50 women he knew or had met at his poetry readings.

Over the years, whenever he made a public appearance, and with the blessing of his wife, Kooser invited women to add their names and addresses to his mailing list.  The list quickly grew from 50 in 1986 to 2700 by 2007, and his wife prompted him to “rein it in,” since by then he was spending nearly $1,000 in postage and printing. The enduring result was a collection of the poems he’d sent to the women on his mailing list, simply titled Valentines: poems (U. of Nebraska, 2008).  Valentine’s Day, he reminded his NPR audience in a 2008 All Things Considered broadcast, is a great holiday for a poet or anyone.  “It’s not tied up with anything other than expressions of sentiment,” he said.  Kooser remarked that his wife was very patient with the project, since he always wrote “special valentines” for her.

If  a loved one or friend is going through cancer treatment, showing your support in different ways can be like giving a valentine to them–ways that matter during the roller coaster ride of cancer diagnosis and treatment.  A dinner out or a gift of chocolates are unlikely to appeal to someone going through treatment, but there are, as MD and Oncologist/Hematologist  Cynthia Chua advises, “some wonderful things you can do for your Valentine… sometimes just ‘being there’ is a great gift. Just spend the day with your Valentine and show them how much you care.” She and writer Jennifer Mia offer some suggestions for celebrating Valentine’s Day together with someone who has cancer:

  1. Write a love note or make a card.
  2. Serve them breakfast in bed
  3. Pick up a stuffed animal for them to take to the next chemotherapy session.
  4. Rent a movie to watch together.
  5. Forgot to buy a card to send? Then send an e-card  or make time for a telephone call.
  6. Give the gift of journaling–a notebook of blank pages to write in.
  7. Offer a soft, cozy blanket for time in chemotherapy or a cold hospital room.

But let’s be clear:  You don’t need a Valentine’s Day to express that you care for someone.  You can do this at any time by sending a card, note, email or simply giving him or her a call to show you are thinking about them.  What matters is that you take the time to do it.  You might be surprised at how much it means to someone simply to know that someone cares or is grateful for him or her.  A few weeks ago, I gave my cardiologist a note of gratitude, written in the form of a somewhat humorous poem,  and what I discovered, in doing so, was how very much she appreciated it.

What matters in this world of busy-ness, stress, economic downturns, political drama or the instant and abbreviated communication we’ve succumbed to on the internet, is simply taking the time to express appreciation, concern or gratitude for the people you care about.  It’s a great gift.  You don’t have to wait for February 14th or any other specified holiday.  The simple act of pausing to remember those we care about and those who have cared for us in times of struggle, hardship or illness, reminds us of what matters most in our lives:  people, friendship, love.

“A Perfect Heart”

To make a perfect heart you take a sheet

of red construction paper…fold it once,

and crease it really heard, so it feels

as if your thumb might light up a match

 

then choose your scissors from the box.  I like

those safety scissors with the sticky blades

and the rubber grips that pinch a little skin

as you snip along.  They make you careful,

just as you should be, cutting out a heart

 

for someone you love.  Don’t worry that your curve

won’t make a valentine; it will.  Rely

on chewing on your lip and symmetry

to guide your hand along with special art.

And there it is at last:  a heart, a heart!

(By Ted Kooser, in:  Valentines: poems, 2008)

Writing Suggestions

  • Try writing a valentine this week, a poem, a postcard, even a letter—to someone you appreciate.
  • Why not write yourself a valentine,  saving it for a time when you might need a little self-care.
  • Perhaps you have your own memory of a long-ago Valentine’s Day.  Write it.
  • If writing a card or poem is not something you find easy to do, then pick up your phone and make a call to someone you care about.   Send an email or a Facebook message.  Wish them a happy Valentine’s Day, and let them know you are thinking about them.

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Her death came quietly, and I suppose, unexpectedly for so many of us.  Her obituary, together with a photograph, appeared in the New York Times: “Mary Oliver, a Pulitzer Prize-winning poet, whose work, with its plain language and minute attention to the natural world… died at 83…”  Diagnosed and treated for lymphoma since 2015, the many obituaries paid tribute to her legacy of award-winning poetry and prose, noting how she “often described her vocation as the observation of life.”  Yet it was her poem,  “When Death Comes,” from her first volume of New and Selected Poems and appearing in the Washington Post obituary, that, for me,  truly captured the person behind the poetry, describing how she intended to approach death, and yet making it clear how she would continue to live for whatever time she had remaining.

When death comes
like the hungry bear in autumn;
when death comes and takes all the bright coins from his purse

to buy me, and snaps the purse shut;
when death comes
like the measle-pox;

when death comes
like an iceberg between the shoulder blades,

I want to step through the door full of curiosity, wondering:
what is it going to be like, that cottage of darkness?

And therefore I look upon everything
as a brotherhood and a sisterhood,
and I look upon time as no more than an idea,
and I consider eternity as another possibility,

and I think of each life as a flower, as common
as a field daisy, and as singular,

and each name a comfortable music in the mouth,
tending, as all music does, toward silence,

and each body a lion of courage, and something
precious to the earth.

When it’s over, I want to say: all my life
I was a bride married to amazement.
I was the bridegroom, taking the world into my arms.

When it’s over, I don’t want to wonder
if I have made of my life something particular, and real.
I don’t want to find myself sighing and frightened,
or full of argument.

I don’t want to end up simply having visited this world.

(In:  New and Selected Poems, V. 1, 2004)

Oliver’s words lingered in my mind for days, not only a statement of how she lived and wrote, but the legacy she wished to leave behind.  It left me thinking about obituaries written for many I’ve known and they did not often capture the essence of the person.  I recalled an article I’d read several years ago by writer Lloyd Garvey, remarking that sometime earlier, “somebody quite wise–I think it was my rabbi–suggested that people should write their own obituaries.  Now.  Regardless of age or medical condition. That way,” he said, “you’ll think about how you want to be remembered and what you want to accomplish in the rest of your life.”  (The Huffington Post, January 16, 2009).

Former leadership guru, Peter Drucker, once told a story in The Daily Drucker: 366 Days of Insight and Motivation for Getting the Right Things Done:  “When I was thirteen I had an inspiring teacher of religion who one day went right through the class of boys asking each one, “What do you want to be remembered for? None of us, of course, could give an answer. So, he chuckled and said, “I didn’t expect you to be able to answer it. But if you still can’t answer it by the time you’re fifty, you will have wasted your life.”  The question, “What do you want to be remembered for?” is one, he stated, that induces you to renew yourself.  You’re forced to see yourself as a different person:  the person you want to become.

In her poem, “Cover Photograph,” Marilyn Nelson answers the question, “What do you want to be remembered for?”  with the repetition of the phrase “I want to be remembered” in each stanza,  describing the different aspects of herself  that define who she is but also, who she wants to become:

I want to be remembered
As a voice that was made to be singing
The lullaby of shadows
As a child fades into a dream…

I want to be remembered
as an autumn under maples:
a show of incredible leaves…

I want to be remembered
with a simple name, like Mama:
as an open door from creation,
as a picture of someone you know.

(In:  Mama’s Promises:  Poems, 1985)

As I grow older and perhaps, because my life has been touched by cancer and by heart failure, I think more often about how I’d like to be remembered when my time comes. While I’m not eager to consider mortality, asking myself how I want to be remembered raises the question of what else and what more I want to do with my life.   I agree with Drucker:  Asking yourself, “What do you want to be remembered for?” is one that induces you to renew the person you are…to be, as Mary Oliver described,  a “bride to amazement” or bridegroom “taking the world in his arms,” to be fully alive–and grateful– for however long we inhabit the earth.

Writing Suggestions:

How you want to be remembered?   What more do you envision for your life?  What things do you want yet to do before you die?  What is the legacy you wish to leave behind?

This week, try writing your own obituary or eulogy. What would you say about yourself?  Think about the things that really matter, the things that will ultimately define your life’s legacy, and the way in which you would like to be remembered by others.  What more do you want to do with your life?  You might even begin with Mary Oliver’s words, “When death comes,” or Marilyn Nelson’s, “I want to be remembered…”

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i am running into a new year
and the old years blow back
like a wind
that i catch in my hair
like strong fingers like
all my old promises and
it will be hard to let go
of what i said to myself
about myself
when i was sixteen and
twenty-six and thirty-six

(From:  The Collected Poems of Lucille Clifton 1965-2010, Young & Miller, Eds., 2012)

“I am running into a new year,” the first line of a Lucille Clifton poem, came to mind early this morning as I greeted the first day of January, 2019–although “running” is not entirely accurate.  Rather, if I am honest about the vagaries of aging, I am sometimes limping into a new year, depending on the aches and pains of a knee now showing the effects of damage done in my more youthful, reckless years.  Nevertheless, I’m moving forward into a new year with every good intention to make it as happy and healthy as I possibly can.

This past year had, as I’ve written in earlier posts, more than a few health challenges, not just for me, but  my husband as well.  I live with heart failure, diagnosed in 2008, likely from damage to the heart muscle during radiation treatments I had nearly twenty years ago.  It is a condition that slowly, but steadily, tends to worsen.  I’m doing relatively well, thanks to medication and the care of an extraordinary cardiologist and her team, but frankly, sometimes that little shadow of fear awakens and trails after me late in the night.

My husband, who has been extraordinarily healthy throughout his life, was diagnosed, quite unexpectedly, with stage 3 kidney cancer in the fall and subsequently had the cancerous kidney removed.  Again, discussions of mortality, interspersed with disbelief, occupied our conversations and thoughts…”what if…?”  Happily, he’s recovered very well, and will, we hope, be granted several more years of healthy living.  Nonetheless, these are the events in our lives that can temporarily bring us to our knees, reminding us of life’s fragility and more, the awareness that we are both growing older, our bodies showing signs of age, and acknowledging we will not live forever.  It’s humbling, and yet, this is life, being human.  No one is immune to its ups and downs,  heartache, illnesses, losses and tragedies that sometimes bring us to our knees, and remind us of our mortality.

Now it is the first day of another year, and for the past few days, I have been writing about and exploring the intentions I have for myself during 2019–how I want to navigate this new year in word, deed and actions.  As I have done for the past many years, I choose a single word to frame my intentions for navigating another year, writing it out, framing it and placing it on my desk as a constant reminder of how I want to live, the actions I want to take.  With all that has happened in the past several months, health-related words have been top of mind.

I began the familiar process, brainstorming words for two or three days and narrowing the possibilities, settling on a shortened list of options.  I then consulted the internet for additional definitions and anything related to the exercise of choosing guiding words or intentions for one’s life.  That’s when I got derailed for a short time, discovering that my practice of choosing one word to frame each new year was now called the “guiding” or “one word movement.”  Huh?  I’ve been part of some movements in my lifetime, like civil rights, anti-war, or women’s rights.  But the act of finding a single word that captured my intentions for the coming year did not seem to be something I’d think of as a “movement.”  Not only that, but I found that there are workshops, coaching and commercial publications offered for this very act of finding one’s guiding word for a new year!  Ack!  I put my words lists aside for a day or two to try to regain a sense of the meaning this practice as for me.

Once I resumed my search and settled on a word which, when I told my husband what it was, he remarked, “that’s a good one.”  The word?  “Flourish.”

To flourish, according to the dictionary, is to thrive, achieve success and prosper.  It’s also associated with luxuriant growth or a sudden burst of activity.  One can trace its etymological roots to early Latin, “flor,” meaning to flower although the first known use of the word “flourish” in the English language didn’t appear until the 14th century.  Flourish, I decided, is an apt word in which to frame the intent for how I want to guide my life–and my health–in the coming year.

So I turned again to scouring the internet for uses of “flourish,” finding a recent definition from popular psychology that seemed consistent with the intentions underlying my choice of it as a guiding word for 2019:

To flourish is to find fulfillment in our lives, accomplishing meaningful and worthwhile tasks, and connecting with others at a deeper level—in essence, living the “good life” (Martin Seligman,PhD, 2011).

Seligman’s definition led me to the site, sub-titled “Your one stop positive psychology resource! ”  I remembered my husband had taken a course of Dr. Seligman’s.  I kept reading, discovering that he is now referred to as “the founding father  of flourishing,” due to his development of the Positive Psychology model and what flourishing includes, i.e.,  “positive emotions, engagement, relationships, meaning and accomplishments.”

But Seligman’s definitions aside,  I had another brief “WHAT?” moment and complained to my husband that not only had “flourish” been around for several centuries, but in this era of instant communication and social media, everything, even vocabulary definitions seemed to be reduced to fads, commercialism, and pop culture.  My husband, also a psychologist, countered my objections, told me again how inspired he’d been with Seligman’s course, positive psychology and more, that Seligman was a great teacher.

“I know, I know,” I sighed.  But Seligman’s definitions of flourishing was clouding my sense of meaning.  I stopped and put my word choice and musings on it aside for another day so that I could articulate and reclaim the meaning “flourish” signified for my life.   I found a favorite poem, a reminder, from William Stafford that helped:

There’s a thread you follow. It goes among
things that change. But it doesn’t change.
People wonder about what you are pursuing.
You have to explain about the thread.
But it is hard for others to see.
While you hold it you can’t get lost.
Tragedies happen; people get hurt
or die; and you suffer and get old.
Nothing you do can stop time’s unfolding.
You don’t ever let go of the thread.

(“The Way It Is,” By William Stafford, From: The Way It Is, 1998)

I returned to my contemplation, knowing I had to follow the thread of what I was exploring when I chose “flourish” as my guiding word for this year.  It is sometimes difficult to silence the voices of others, but it’s important to  struggle with and clarify what any word or set of definitions means in a way that honors our experience.  I spent yesterday writing about the meaning of “flourish” once again.

Flourishing, for me, is about living fully, not being weighed down emotionally and, to the extent I am actually able, physically.  It’s about being present to each day, the moments of simple beauty, kindness, and good in others.  It signifies finding new things to try or discover, time for play and fun with my grandchildren or my husband.  It is about staying active, whether I feel lead- footed in my dance class or not, whether I walk less briskly than I once did or not, or whether I wake up with stiff joints in the morning.  Flourishing is about renewed spirit, living with gratitude, and yes, a positive outlook.   To flourish means, for me, to be alive, truly alive, and participate in living to the fullest extent I can for as long as I can.

Today I’ll look for an image that is a metaphor for flourishing, print it out and place it with the word, “flourish,” written beneath it in the little frame reserved for my annual guiding words.  A constant reminder, this single word, which I claim as my guiding word, the one that will help to keep me on track with my intentions for living in 2019.

Perhaps you also have a guiding word or a list of intentions you wish to live this new year by.  Whatever you wish and intend for yourself and your life, I wish you a new year filled with new possibilities, discoveries, healing and hope.

Happy New Year.

Writing Suggestions:

Where can you find your inspiration for the coming year?

  • Start anywhere, with a single word, an image, a line from a favorite poem.
  • Try making a mind map, a brainstorming list, letting each word or association take you into new territory.
  • Alternatively, simply set the timer for five minutes; open your notebook and exploring all you want this New Year to be about.  You can even begin with “I don’t know where to begin, but…” and keep going, wherever those first words lead you.

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